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Systems and methods for determining, collecting, and configuring patient intervention screening information from a pharmacy

机译:用于确定,收集和配置来自药房的患者干预筛查信息的系统和方法

摘要

A healthcare claim transaction may be received by a service provider computer from a pharmacy computer. An intervention service for a patient may be identified and the screening parameters to be obtained from the patient for the intervention service may be identified. The service provider computer may generate a reject response and insert a reject code and/or message notifying the pharmacy of the first screening parameter to obtain from the patient. The rejection response may be sent to the pharmacy computer, which may subsequently send a resubmitted healthcare claim transaction that includes the requested first screening parameter data for the patient. The service provider computer may parse the transaction to identify the data. The iterative process may continue until all of the screening parameter data for the patient is received by the service provider computer, which may transmit that data to a claims processor computer.
机译:服务提供者计算机可以从药房计算机接收医疗保健索赔交易。可以识别针对患者的干预服务,并且可以识别要从患者获得的针对干预服务的筛选参数。服务提供商计算机可以生成拒绝响应,并插入拒绝代码和/或消息以通知药房要从患者那里获得的第一筛查参数。拒绝响应可以被发送到药房计算机,其可以随后发送重新提交的医疗保健索赔交易,该交易包括针对患者的所请求的第一筛查参数数据。服务提供商计算机可以解析交易以识别数据。迭代过程可以继续进行,直到服务提供商计算机接收到患者的所有筛查参数数据为止,该服务提供商计算机可以将该数据传输到索赔处理器计算机。

著录项

  • 公开/公告号US10642957B1

    专利类型

  • 公开/公告日2020-05-05

    原文格式PDF

  • 申请/专利权人 MCKESSON CORPORATION;

    申请/专利号US201414519626

  • 发明设计人 ROGER G. PINSONNEAULT;KRISTINA CROCKETT;

    申请日2014-10-21

  • 分类号G06F19;

  • 国家 US

  • 入库时间 2022-08-21 11:26:44

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